Smith J R
Department of Ophthalmology, Flinders Medical Centre, South Australia.
Aust N Z J Ophthalmol. 1995 Feb;23(1):59-61.
A case of trichotillomania, or compulsive hair-pulling, involving the eyelids is presented to alert ophthalmologists to this common, but frequently overlooked cause of eyelash and eyebrow alopecia.
Clinical records of a 33-year-old woman suffering from trichotillomania were reviewed. Compulsive hair-pulling began in childhood and had become chronic. Psychiatric intervention was unsuccessful.
The diagnosis of trichotillomania is made on history and slit-lamp examination findings. A skin biopsy may be necessary to exclude alopecia areata. Adults should be referred to a psychiatrist. Although childhood disease is usually benign, often reflecting a disturbed parent-child relationship, in adults hair-pulling is generally chronic and associated with psychiatric illness.
报告一例拔毛癖（即强迫性拔毛）累及眼睑的病例，以提醒眼科医生注意这一导致睫毛和眉毛脱落的常见但常被忽视的原因。
回顾了一名33岁患有拔毛癖女性的临床记录。强迫性拔毛始于童年，已变为慢性。精神科干预未成功。
拔毛癖的诊断基于病史和裂隙灯检查结果。可能需要进行皮肤活检以排除斑秃。成人应转诊至精神科医生处。虽然儿童期疾病通常为良性，常反映亲子关系紊乱，但在成人中，拔毛通常是慢性的且与精神疾病相关。
